Surgical Skills Beyond Scientific Management

Surgical Skills Beyond Scientific Management

During the Great War, the French surgeon Alexis Carrel, in collaboration with the English chemist Henry Dakin, devised an antiseptic treatment for infected wounds. This paper focuses on Carrel's attempt to standardise knowledge of infected wounds and their treatment, and looks closely at the vision of surgical skill he espoused and its difference from those associated with the doctrines of scie...

Beyond measure: teaching clinical skills.

I recently visited a retired physician who practiced in Roma, Texas, population 10000. His family has lived and ranched in Roma for 6 generations, well before the border was moved and Roma became part of the United States. As the town's first and only physician for most of his 4-plus decades in practice, Dr Mario Ramirez did it all: deliveries, house calls, minor surgery, and seeing 60 people a...

Evolution of surgical skills training.

Surgical training is changing: one hundred years of tradition is being challenged by legal and ethical concerns for patient safety, work hours restrictions, the cost of operating room time, and complications. Surgical simulation and skills training offers an opportunity to teach and practice advanced skills outside of the operating room environment before attempting them on living patients. Sim...

Objective Assessment of Surgical Skills

Minimally invasive surgery (MIS) involves a multi-dimensional series of tasks requiring a synthesis between visual information and the kinematics and dynamics of the surgical tools. Analysis of these sources of information is a key step in mastering MIS but may also be used to define objective criteria for characterizing surgical performance. The BlueDRAGON is a new system for acquiring the kin...

scientific foundations of surgical practice